| NPI | 1003702606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0020633) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |